QA - Quality Auditor RCM Healthcare (BPO)

apartmentAGS Health placeTaguig scheduleFull-time calendar_month 
Job Title: QA - RCM
Location: McKinley, Taguig City

Work Set-up: Onsite

Required Qualifications
  • Bachelor's degree or equivalent experience.
  • 3–5 years of experience in US Healthcare Revenue Cycle Management (RCM) or Patient Financial Services.
  • Strong understanding of:
  • Medical billing and collections
  • Insurance eligibility and benefits
  • Payment plans and patient collections
  • HIPAA compliance
  • Revenue Cycle Management workflows
  • Experience with call monitoring and quality evaluation tools.
Preferred Skills
  • Excellent communication and coaching skills.
  • Analytical and problem-solving abilities.
  • Strong attention to detail.
  • Advanced Excel and reporting skills.
  • Experience with healthcare CRM and patient account systems (Epic).
Key Performance Indicators (KPIs)
  • Quality Score %
  • Compliance Adherence %
  • Audit Accuracy %
  • Calibration Variance %
  • Error Reduction %
  • Patient Satisfaction (CSAT)
  • Call Documentation Accuracy
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